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CANDICE C JOHNSON PSY.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1831641901
Individual Registrant: CANDICE C JOHNSON PSY.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5000 MIRAMAR DR UNIT 5120 MADEIRA BEACH, FL 33708-3416 US
Tel: 727-291-2367 Fax: --
Tel: 727-291-2367 Fax: --
Contact information for business:
5000 MIRAMAR DR UNIT 5120 MADEIRA BEACH, FL 33708-3416 US
Tel: 954-732-8267 Fax: --
Tel: 954-732-8267 Fax: --
Registration Information:
NPI: 1831641901
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | FL | 9973 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
